Individual
DR. JOSHUA LEE WIXWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 LILLY RD NE STE 204, OLYMPIA, WA 98506-5101
(360) 493-7230
(360) 493-4180
Mailing address
525 LILLY RD NE STE 204, OLYMPIA, WA 98506-5101
(360) 493-7230
(360) 493-4180
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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